Grigsby, Emily Wyatt

Grigsby, Emily Wyatt is an individual health care provider with primary practice located at 17772 Beach Blvd , Huntington Beach CA 92647-6819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Grigsby, Emily Wyatt can be contacted via phone (714) 843-5059.

Contact Information

Primary practice address
17772 Beach Blvd Huntington Beach CA 92647-6819
Phone: (714) 843-5059
Fax: (714) 375-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 95839 California

Profile Details

NPI number 1861524415
LBN Legal business name Grigsby, Emily Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861524415 NPPES
California MEDICAID 1861524415

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